National Provider Identifier Database

CORCORAN HEALTHCARE ENT INC
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

CORCORAN HEALTHCARE ENT INC
301 E 2ND ST
RICHLAND CENTER, WI53581-1900
Phone: 608-647-8806
Fax: 608-647-2029
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X

* Indicates primary specialty

NPI Profile & details for CORCORAN HEALTHCARE ENT INC

NPI Number 1164974036
Legal business name
LBN
CORCORAN HEALTHCARE ENT INC
Authorized official PAUL CORCORAN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/26/2016
Last updated 11/10/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • WI License #: 7973-042
  • WI Medicaid: 33168200
  • WI Other: B08230661 CEDI TRADING PARTNER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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